Reboot LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

REBOOT LLC

Doing business as

Reboot LLC

Practice address

7006 Old Reflection Dr
Mechanicsville, VA 23111-4284

Phone

(804) 426-3686

NPI assigned

Feb 28, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nathaniel Moody

Title

Ceo

Phone

(804) 426-3686

Specialties & licenses 1

Addresses

Other names 1

• Reboot LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1245797083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 OLD REFLECTION DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 OLD REFLECTION DR",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231114284",
            "telephone_number": "804-426-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOOT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "804-426-3686"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reboot LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pindipapanahalli V Ravindra, MD
• Quincy A Ray, PT, DPT
• William Berkley Rayfield, RPH
• Keenan Rea, PHARMD
• Realign Your Mind Counseling Services
• Recorian Wellness Services, LLC
• Melissa Redfearn, SLP
• Elizabeth Carol Redford, CF-SLP
• Rediclinic LLC
• Ashlee Murphy Reed, LCSW, M.DIV

• Adult Mental Health Clinic/Center in Mechanicsville, VA
• Providers in Mechanicsville, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.